Why the study?
Frailty and cognitive impairment are associated with postoperative delirium but are rarely assessed preoperatively.
Does preoperative screening for frailty and cognitive impairment predict postoperative delirium in older patients undergoing elective spine surgery?
Population
229 patients greater than or equal to 70 yr old presenting for elective spine surgery
Comparison
Preoperative screening for frailty and cognitive impairment vs delirium risk
Design
Prospective cohort study
Follow-up
Postoperative day 1 to 3 or until discharge
Authors
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Simple FRAIL and fluency screens may now flag older spine patients for delirium precautions; leaves open whether routine use improves outcomes.
Does preoperative screening for frailty and cognitive impairment predict postoperative delirium in older patients undergoing elective spine surgery?
Preoperative screening for frailty and cognitive impairment using the FRAIL scale and Animal Verbal Fluency test identifies older patients at high risk for postoperative delirium after elective spine surgery.
Susano et al. (2020) studied this question.
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